Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019
Name of foundation
BLUM FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)5 LORIMER STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BROOKLYN, NY11206
A Employer identification number

37-1552899
B Telephone number (see instructions)

C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$0J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 134,200
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 134,200 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 100      
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 37      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 137 0   0
25 Contributions, gifts, grants paid....... 131,309 131,309
26 Total expenses and disbursements. Add lines 24 and 25 131,446 0   131,309
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,754
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 644,321 647,075  
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 644,321 647,075 0
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 644,321 647,075
29 Total net assets or fund balances (see instructions)..... 644,321 647,075
30 Total liabilities and net assets/fund balances (see instructions). 644,321 647,075
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
644,321
2
Enter amount from Part I, line 27a .....................
2
2,754
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
647,075
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
647,075
Form 990-PF (2019)
Form 990-PF (2019)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2018 184,403    
2017 137,480    
2016 128,206    
2015 169,191    
2014 160,678    
2
Total of line 1, column (d) .....................
2
 
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
 
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
 
8
Enter qualifying distributions from Part XII, line 4,.............
8
 
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2019)
Form 990-PF (2019)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a  
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
 
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
 
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
 
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
 
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
 
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
 
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
     
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
     
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
     
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
     
    No
    Website addressbullet  
    14
    The books are in care ofbulletMOSHE BLUM Telephone no.bullet (917) 692-5635

    Located atbullet5 LORIMER STREETBROOKLYNNY ZIP+4bullet11206
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2019?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2019?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2019 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2019.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
     
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
    4b
     
     
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
     
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Moshe Blum Trustee
    000.00     		0    
    5 LORIMER STREET
    Brooklyn,NY11206
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
     
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    0
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 Click to see attachment..........
    1a
    131,309
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    131,309
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    131,309
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2018     		(c)
    2018     		(d)
    2019
    1 Distributable amount for 2019 from Part XI, line 7 0
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2019:
    a From 2014...... 160,678
    b From 2015...... 169,191
    c From 2016...... 128,206
    d From 2017...... 137,480
    e From 2018...... 184,403
    fTotal of lines 3a through e........ 779,958
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 131,309
    a Applied to 2018, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2019 distributable amount.....  
    e Remaining amount distributed out of corpus 131,309
    5 Excess distributions carryover applied to 2019.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 911,267
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2014 not
    applied on line 5 or line 7 (see instructions) ...     		160,678
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		750,589
    10 Analysis of line 9:
    a Excess from 2015.... 169,191
    b Excess from 2016.... 128,206
    c Excess from 2017.... 137,480
    d Excess from 2018.... 184,403
    e Excess from 2019.... 131,309
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2019, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2019 (b) 2018 (c) 2017 (d) 2016
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    Moshe Blum
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Achiezer 221
    334 Central Avenue
    Lawrence,NY11559     		    General Support 10
    Achiezer 328
    334 Central Avenue
    Lawrence,NY11559     		    General Support 18
    Ahavas Tzedakah V'chesed
    1347 42nd St
    Brooklyn,NY11219     		    General Support 50
    Ahavas Yisroel
    2 Lee Ave
    Brooklyn,NY11211     		    General Support 50
    Ahavas Yisroel
    2 Lee Ave
    Brooklyn,NY11211     		    General Support 36
    American Friends of Kupat Hair
    4415 14th Ave
    Brooklyn,NY11219     		    General Support 120
    Ashreinu Charity
    1813 E 19TH ST
    Brooklyn,NY11229     		    General Support 18
    Ateres Shulem
    5308 13th Ave
    Brooklyn,NY11219     		    General Support 100
    Avihem 115
    1262 51st St
    Brooklyn,NY11219     		    General Support 100
    Bais Ahoron
    905 Park Ave
    Lakewood,NJ08701     		    General Support 50
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 5,000
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 1,110
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 4,315
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 4,200
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 500
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 4,000
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 500
    Bais Chuna
    570 Bedford Ave Apt 4b
    Brooklyn,NY11249     		    General Support 3,100
    Bais Hamedrosh Ohev Yisroel
    St
    Brooklyn,NY11219     		    General Support 13,000
    Bais Medrosh Gevoah
    617 6th St
    Lakewood,NJ08701     		    General Support 65
    Bais Mordche
    Ross St
    Brooklyn,NY11211     		    General Support 26
    Bais Viznitz
    2 Lee Ave
    Brooklyn,NY11211     		    General Support 250
    Bais Yakkov Nechama
    Ave
    Brooklyn,NY11218     		    General Support 50
    Balchov
    446 Marcy Ave
    Brooklyn,NY11206     		    General Support 100
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Bayis Lepleitos
    56 Lee Ave
    Brooklyn,NY11211     		    General Support 750
    Beer Yitzchok
    451 Broadway Ste 136
    Brooklyn,NY11211     		    General Support 100
    Bikur Cholim
    543 Bedford Ave
    Brooklyn,NY11211     		    General Support 18
    Bina Stroke & Brain 111
    2511 Avenue I
    Brooklyn,NY11210     		    General Support 720
    Binyan Yerushalayim
    183 Wilson St
    Brooklyn,NY11211     		    General Support 36
    Binyan Yerushalayim
    183 Wilson St
    Brooklyn,NY11211     		    General Support 100
    Binyan Yerushalayim
    183 Wilson St
    Brooklyn,NY11211     		    General Support 200
    Bnos Chayil
    345 Hewes St
    Brooklyn,NY11211     		    General Support 100
    Bnos Meluchim 214
    199 Lee Ave
    Brooklyn,NY11211     		    General Support 400
    Bnos Square 211
    382 Willoughby Ave
    Brooklyn,NY11205     		    General Support 600
    Botoshan
    1148 49TH ST
    Brooklyn,NY11219     		    General Support 26
    C E L
    130 Lee Ave
    Brooklyn,NY11211     		    General Support 884
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 2,450
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    Central UTA
    76 Rutledge St
    Brooklyn,NY11249     		    General Support 500
    CHaridy
    183 Wilson St
    Brooklyn,NY11211     		    General Support 250
    Charidy Cong Beir Mayim
    1 Iron Hill Plz Unit 304
    Monroe,NY10950     		    General Support 100
    Chasdei Chaim Zanvil 402
    199 Lee Ave
    Brooklyn,NY11211     		    General Support 18
    Chasdei Izriel Yehuda
    205 WALLABOUT ST
    Brooklyn,NY11206     		    General Support 100
    Chasdei Meshilem
    6 LEE AVE
    Brooklyn,NY11211     		    General Support 36
    Chasdei Meshilem 212
    6 LEE AVE
    Brooklyn,NY11211     		    General Support 50
    Chasdei Meshilem 416
    6 LEE AVE
    Brooklyn,NY11211     		    General Support 88
    Chasdei Tzemach Tzedek
    2 Langeries Dr
    Monsey,NY10952     		    General Support 500
    Chasdei Uvois
    4909 15Th Ave
    Brooklyn,NY11219     		    General Support 50
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 50
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 36
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 36
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 100
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 36
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 36
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 100
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 36
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 100
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 100
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 120
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 18
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 50
    Chasudim Tovim
    741 Wythe Ave
    Brooklyn,NY11249     		    General Support 18
    Chayim Vchesed
    199 Lee Ave Suite 268
    Brooklyn,NY11211     		    General Support 36
    Chesed Lavraham
    5317 13th Ave
    Brooklyn,NY11219     		    General Support 50
    Chesed Oilem 410
    St
    Brooklyn,NY11219     		    General Support 18
    Chesed Oilom
    St
    Brooklyn,NY11219     		    General Support 18
    Chevra Tomchei Shabbos
    6225 New Utrecht Ave
    Brooklyn,NY11219     		    General Support 100
    Chevrei Osai Tzodokah 228
    44 Adar Ct
    Monsey,NY10952     		    General Support 50
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 50
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 50
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 100
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 50
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 50
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 36
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 50
    Chonen V'nosen
    6301 17th Ave
    Brooklyn,NY11204     		    General Support 40
    Cong Bais Yisroel
    ST
    Brooklyn,NY11218     		    General Support 5,000
    Cong Eizer Lazuduka
    Ave
    Brooklyn,NY11211     		    General Support 50
    Cong Eizer Lemuzoin 411
    5308 13th Ave
    Brooklyn,NY11219     		    General Support 5,646
    Cong Eizer Lezuduka
    Ave
    Brooklyn,NY11211     		    General Support 26
    Cong Eizer Tzeduka
    Ave
    Brooklyn,NY11211     		    General Support 10
    Cong Evocharto Bachaim 404
    183 WILSON ST 102
    Brooklyn,NY11211     		    General Support 36
    Cong Keren Avrum yosef
    320 Roebling St
    Brooklyn,NY11211     		    General Support 18
    Cong Khal Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 100
    Cong Machne Rav Tov
    545 Bedford Ave
    Brooklyn,NY11211     		    General Support 100
    Cong Meor Eiynayim 414
    202 HOOPER ST APT 2
    Brooklyn,NY11211     		    General Support 36
    Cong Ohev Yisroel of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 464
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 318
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 318
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 318
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 318
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 318
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 1,850
    Cong Ohev Yisroel Of Apta
    260 LEE AVE NUM 262
    Brooklyn,NY11206     		    General Support 1,000
    Cong Rav Lahoshia
    PO BOX 190224
    Brooklyn,NY11219     		    General Support 100
    Cong Rav Lehoshia
    PO BOX 190224
    Brooklyn,NY11219     		    General Support 36
    Cong Sharei Chaim 409
    182 Division Ave
    Brooklyn,NY11211     		    General Support 1,800
    Cong Sharei Ezra
    12 PRAG BLVD UNIT 101
    Monroe,NY10950     		    General Support 36
    Cong Sharie Torah
    183 Wilson St
    Brooklyn,NY11211     		    General Support 120
    Cong Sharie Torah
    183 Wilson St
    Brooklyn,NY11211     		    General Support 150
    Cong Sir Meyru 306
    670 Myrtle Ave
    Brooklyn,NY11205     		    General Support 32
    Cong Tashbar
    PO Box 657
    Monsey,NY10952     		    General Support 36
    Cong Tashbar
    PO Box 657
    Monsey,NY10952     		    General Support 18
    Cong Tiferes Shul Lakewood
    415 MONMOUTH AVE
    Lakewood,NJ08701     		    General Support 18
    Cong toldos aron 328
    43 Lee Ave
    Brooklyn,NY11211     		    General Support 18
    Cong Tomchei Shabbos 415
    6225 New Utrecht Ave
    Brooklyn,NY11219     		    General Support 100
    Cong Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 50
    Cong Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 5,700
    Cong Yetev Lev Wallabout
    242 Wallabout St
    Brooklyn,NY11206     		    General Support 700
    Cong Bais Hamedrosh Tosch
    144 Wilson st
    Brooklyn,NY11211     		    General Support 36
    Cong Bais Shmiel Tzvi
    117 Keap St
    Brooklyn,NY11211     		    General Support 100
    Cong Bnei Levi
    45 CARASALJO DR
    Lakewood,NJ08701     		    General Support 100
    Cong Dinev
    77 Wallabout St
    Brooklyn,NY11249     		    General Support 100
    Cong Eizer L'Bracha
    172 BLAUVELT RD
    Monsey,NY10952     		    General Support 50
    Cong Heichel Tzvi
    4315 12th Ave
    Brooklyn,NY11219     		    General Support 50
    Cong Karnei Reim
    822 Avenue N
    Brooklyn,NY11230     		    General Support 1,000
    Cong Keren Yesomim Mekor Chaim
    253 Marcy Ave
    Brooklyn,NY11211     		    General Support 120
    Cong Kol Tiv
    183 Wilson St PMB 155
    Brooklyn,NY11211     		    General Support 100
    Cong KZSZ
    PO BOX
    Monsey,NY10952     		    General Support 75
    Cong KZSZ
    PO BOX
    Monsey,NY10952     		    General Support 50
    Cong Machne Noam
    670 Myrtle Ave
    Brooklyn,NY11205     		    General Support 200
    Cong Neshimas Chai
    199 Lee Ave
    Brooklyn,NY11211     		    General Support 1,600
    Cong Ohel Moshe
    7914 Bay Pkwy
    Brooklyn,NY11214     		    General Support 100
    Cong Oholey Shem
    5206 12Th Ave
    Brooklyn,NY11219     		    General Support 360
    Cong STV
    183 Wilson St
    Brooklyn,NY11211     		    General Support 50
    Cong Tehillah L'Duvid
    5308 13th Ave
    Brooklyn,NY11219     		    General Support 100
    Cong Yad Yehuda
    1910 University Blvd W
    Silver Spring,MD20902     		    General Support 180
    Cong Yagdil Torah
    574 Empire Blvd
    Brooklyn,NY11225     		    General Support 180
    Cong Yeshiva Oir Pnei
    287 Hewes St
    Brooklyn,NY11211     		    General Support 240
    Cong Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 500
    Cong Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 200
    Cong Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 120
    Cong Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 150
    Cong Yotzer Ohr
    60 FRANCIS PL
    Monsey,NY10952     		    General Support 100
    Cong Yotzer Ohr
    60 FRANCIS PL
    Monsey,NY10952     		    General Support 75
    Cong Zichron Menachem
    166 Rodney St
    Brooklyn,NY11211     		    General Support 200
    Cong Zluchev
    St
    Brooklyn,NY11206     		    General Support 50
    Congregation BYN
    Ave
    Brooklyn,NY11211     		    General Support 6,035
    Congregation BYN
    Ave
    Brooklyn,NY11211     		    General Support 702
    Doros Yisroel 409
    130 LEE AVE STE 304
    Brooklyn,NY11211     		    General Support 18
    Eizer Bachurim Monsey
    74 W Eckerson Rd
    Spring Valley,NY10977     		    General Support 100
    Eizer Chaim Yom Tov 328
    664 MYRTLE AVE APT 4L
    Brooklyn,NY11205     		    General Support 36
    Eizer Laanyim Mei Hada
    St
    Brooklyn,NY11230     		    General Support 18
    Eizer Lebrucha
    Rd
    Monsey,NY10952     		    General Support 100
    Eizer Lemuzin
    31 Warsoff Pl
    Brooklyn,NY11205     		    General Support 1,350
    Ezra V'yietz
    6 Teverya Way
    Monroe,NY10950     		    General Support 100
    Gemilas Chasudim Tiferes Chaim
    5014 16th Ave Ste 116
    Brooklyn,NY11204     		    General Support 1,000
    Gilyon Sharei Mesivta
    Ave
    Brooklyn,NY11249     		    General Support 100
    Haichal Yeshaye
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya 207
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Haichel Yeshaya 322
    Bedford Ave
    Brooklyn,NY11211     		    General Support 100
    Haichel Yeshaya 411
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Hatzolas Yehudy Taimon 407
    PO Box 1073
    Monroe,NY10949     		    General Support 36
    Heichal Yeshaya
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Heichel yeshaya 108
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Heichel Yeshaya 308
    Bedford Ave
    Brooklyn,NY11211     		    General Support 36
    Heichel Yeshaya 313
    Bedford Ave
    Brooklyn,NY11211     		    General Support 18
    International Mikvah 409
    5215 19th Ave
    Brooklyn,NY11204     		    General Support 180
    International Mikve
    5215 19th Ave
    Brooklyn,NY11204     		    General Support 100
    Jerusalem open house
    St
    Brooklyn,NY11204     		    General Support 18
    Jewish Center for Special
    500 Bedford Ave
    Brooklyn,NY11249     		    General Support 36
    Kapayim 306
    1574 56th St
    Brooklyn,NY11219     		    General Support 50
    Keiravtuni
    183 Wilson St
    Brooklyn,NY11211     		    General Support 1,290
    Keren hachesed
    12 Blauvelt Rd
    Monsey,NY10952     		    General Support 500
    Keren Chasanim
    1565 62nd St
    Brooklyn,NY11219     		    General Support 110
    Keren CHasanim
    1565 62nd St
    Brooklyn,NY11219     		    General Support 100
    Keren Eizer
    543 BEDFORD AVE PMB 224
    Brooklyn,NY11211     		    General Support 50
    Keren Hachesed 318
    12 Blauvelt Rd
    Monsey,NY10952     		    General Support 18
    Keren Halbusha
    1237 58TH ST
    Brooklyn,NY11219     		    General Support 400
    Keren Menachem
    402 BERRY ST
    Brooklyn,NY11219     		    General Support 200
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Mikvaous
    1451 52nd St
    Brooklyn,NY11219     		    General Support 280
    Keren Shmeil Zanvil
    199 Lee Ave Ste 188
    Brooklyn,NY11211     		    General Support 36
    Keren V'Ezer
    597 Myrtle Avenue
    Brooklyn,NY11205     		    General Support 360
    Keren V'Ezer
    597 Myrtle Avenue
    Brooklyn,NY11205     		    General Support 100
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 100
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 200
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 100
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 100
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 100
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 100
    Keren Yagdil torah
    212 Lynch St
    Brooklyn,NY11206     		    General Support 100
    Keren yeshua Vreiza
    9 FRANKLIN AVENUE 5a
    Brooklyn,NY11249     		    General Support 100
    Keren Yesomim
    253 Marcy Ave
    Brooklyn,NY11211     		    General Support 18
    K'hal Arigas Habosam Tzelim
    Lynch St
    Brooklyn,NY11206     		    General Support 100
    k'hal Torahs Chaim
    5228 New Utrecht Ave
    Brooklyn,NY11219     		    General Support 100
    Kollel Derech Hachaim
    8 Van Buren Dr
    Monroe,NY10950     		    General Support 100
    Kollel Williamsburg
    280 Rodney St
    Brooklyn,NY11211     		    General Support 100
    Kollel Williamsburg 210
    280 Rodney St
    Brooklyn,NY11211     		    General Support 100
    Kollel Yeshivas Yochenen Ben Zacai
    Ave
    Brooklyn,NY11218     		    General Support 40
    Ladies Bikur Cholim
    543 Bedford Ave
    Brooklyn,NY11211     		    General Support 18
    L'bnei Yisroel
    Dr
    Monsey,NY10952     		    General Support 36
    Lee Gardens Synagogue
    2 Lorimer St
    Brooklyn,NY11206     		    General Support 250
    Machon Mehral Tzinz
    199 Lee Ave
    Brooklyn,NY11211     		    General Support 500
    Malbish Yesha
    199 Lee Ave
    Brooklyn,NY11211     		    General Support 26
    Matat Mordechai
    1840 52nd St Apt 27
    Brooklyn,NY11204     		    General Support 100
    Merkachas Besumim
    26 Wilson St
    Brooklyn,NY11249     		    General Support 120
    Mesamche lev
    1364 53rd St
    Brooklyn,NY11219     		    General Support 180
    Mikva 212
    212 Williamsburg St E
    Brooklyn,NY11211     		    General Support 18
    Mikva Ramu
    149 Penn St
    Brooklyn,NY11211     		    General Support 18
    Mikva USA
    1451 52nd St Unit A1
    Brooklyn,NY11219     		    General Support 36
    Mikvah 212
    212 Williamsburg St E
    Brooklyn,NY11211     		    General Support 26
    Mikvah Tahara Khal Yetev Lev
    212 Williamsburg St E
    Brooklyn,NY11211     		    General Support 120
    Mosdos Botoshon
    1148 49TH ST
    Brooklyn,NY11219     		    General Support 36
    Mosdos Chernobel
    St
    Brooklyn,NY11204     		    General Support 120
    Nachlai Das Breslov
    St
    Brooklyn,NY11205     		    General Support 18
    Nechumas Yisroel
    1338 41ST ST
    Brooklyn,NY11218     		    General Support 36
    Nizer Hatorah
    301 Essex Ave
    Lakewood,NJ08701     		    General Support 100
    Notzar Chessed
    3054 Bedford Ave
    Brooklyn,NY11210     		    General Support 18
    Ohr Bachoshech
    2 VAN BUREN DR UNIT 201
    Monroe,NY10950     		    General Support 36
    Ohr Bachoshech 416
    2 VAN BUREN DR UNIT 201
    Monroe,NY10950     		    General Support 52
    Ohr chodosh
    713 Bedford Ave
    Brooklyn,NY11206     		    General Support 100
    Ohr chodosh
    713 Bedford Ave
    Brooklyn,NY11206     		    General Support 200
    Ohr Chodosh 217
    713 Bedford Ave
    Brooklyn,NY11206     		    General Support 50
    Ohr Layshurim 220
    Ave
    Brooklyn,NY11218     		    General Support 10
    Ohr shulem vchesed 206
    285 Division Ave
    Brooklyn,NY11211     		    General Support 10
    Ozer Dalim
    1301 Avenue K
    Brooklyn,NY11230     		    General Support 18
    Ozer Yisroel
    1462 62ND ST
    Brooklyn,NY11219     		    General Support 50
    Pidon Shvuyim
    320 Roebling St
    Brooklyn,NY11211     		    General Support 50
    Pupa Bikur Cholim
    320 Roebling St
    Brooklyn,NY11211     		    General Support 5,400
    Pupa Bikur Cholim
    320 Roebling St
    Brooklyn,NY11211     		    General Support 3,080
    Rabbi Ausch
    183 Wilson st
    Brooklyn,NY11211     		    General Support 200
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 26
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 50
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 100
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 120
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 100
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 50
    Rav Chesed
    1212 43rd St
    Brooklyn,NY11219     		    General Support 2,125
    Reb Meir Bal Hanes
    18 Heyward St
    Brooklyn,NY11249     		    General Support 26
    Reb Meir bal hanes
    18 Heyward St
    Brooklyn,NY11249     		    General Support 100
    REb Meir Bal Hanes 118
    18 Heyward St
    Brooklyn,NY11249     		    General Support 120
    Reb Meir Bal Hanes 222
    18 Heyward St
    Brooklyn,NY11249     		    General Support 55
    Reb Meir Bal Hanes 301
    18 Heyward St
    Brooklyn,NY11249     		    General Support 50
    Reb Meir Bal Hanes 308
    18 Heyward St
    Brooklyn,NY11249     		    General Support 50
    Reb Meir bal hanes 323
    18 Heyward St
    Brooklyn,NY11249     		    General Support 50
    Reb Meir Bal Hanes 330
    18 Heyward St
    Brooklyn,NY11249     		    General Support 36
    Reb Meir Bal Hanes 406
    18 Heyward St
    Brooklyn,NY11249     		    General Support 52
    Reb meir Bal Hanes 413
    18 Heyward St
    Brooklyn,NY11249     		    General Support 25
    Reb Meir Bal haness
    18 Heyward St
    Brooklyn,NY11249     		    General Support 1,000
    Reb Meir Bal haness
    18 Heyward St
    Brooklyn,NY11249     		    General Support 52
    Reb Meir Bal Hannes
    18 Heyward St
    Brooklyn,NY11249     		    General Support 150
    Reb Meir Bal Hannes
    18 Heyward St
    Brooklyn,NY11249     		    General Support 50
    Refuah Helpline
    9 Meron Dr
    Monroe,NY10950     		    General Support 100
    Sharei Yeshivas Vantiv
    266 Broadway
    Brooklyn,NY11211     		    General Support 50
    Sharei Yeshivas Vantiv
    266 Broadway
    Brooklyn,NY11211     		    General Support 18
    Shefa Chaim
    1611 46th St
    Brooklyn,NY11204     		    General Support 36
    shull Pushka
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 19
    Simchas Yom Tov
    4508 15th Ave
    Brooklyn,NY11219     		    General Support 40
    Talmidei Ohr Torah 210
    48 Edgemount Rd
    Edison,NJ08817     		    General Support 210
    Talmud Torah Bais Yechiel
    Pines Bridge Rd
    Mt Kisco,NY10549     		    General Support 360
    Talmud Torah Khal Adas 226
    33 Union Road
    Spring Valley,NY10977     		    General Support 100
    The Samet Fund
    St
    Brooklyn,NY11218     		    General Support 18
    Tiferes Bnos 307
    199 Lee Ave
    Brooklyn,NY11211     		    General Support 50
    Tiferes Yehuda
    802 HICKSVILLE RD
    Far Rockaway,NY11691     		    General Support 75
    Tzidkas Avrohom
    320 Roebling St
    Brooklyn,NY11211     		    General Support 100
    Tzidkas Avrohom
    320 Roebling St
    Brooklyn,NY11211     		    General Support 1,000
    Tzirem Yeshiva
    Rd
    Monroe,NY10950     		    General Support 120
    Unique Foundation
    Rd
    Monroe,NY10950     		    General Support 18
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 180
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 72
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 500
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 500
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 500
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 500
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 500
    UTA
    82 Lee Ave
    Brooklyn,NY11211     		    General Support 2,000
    UTA Mesivta of KJ
    Bardichev Rd
    Monroe,NY10950     		    General Support 18
    UTA of Lakewood
    1400 Pine St
    Lakewood,NJ08701     		    General Support 50
    UTA of Lakewood 224
    1400 Pine St
    Lakewood,NJ08701     		    General Support 50
    Vaad Harabunim 129
    221 Regent Drive
    Lakewood,NJ08701     		    General Support 18
    Vaad Harabunim Linyanei
    221 Regent Drive
    Lakewood,NJ08701     		    General Support 36
    Vaad Lhachnuses Orchim
    1733 52nd St
    Brooklyn,NY11204     		    General Support 36
    Vad Rabunim 313
    221 Regent Drive
    Lakewood,NJ08701     		    General Support 10
    Yad L'achim
    4018 18th Ave
    Brooklyn,NY11218     		    General Support 36
    Yad Mordche
    PO BOX
    Monsey,NY10952     		    General Support 18
    Yad Yosef
    1036 Ocean Pkwy
    Brooklyn,NY11230     		    General Support 100
    Yeoded Inc
    1279 37th St
    Brooklyn,NY11218     		    General Support 36
    Yeshiva Beer Hatorah
    961 E County Line Rd
    Lakewood,NJ08701     		    General Support 100
    Yeshiva Ohel Shimon
    702 AVENUE P
    Brooklyn,NY11223     		    General Support 200
    Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 36
    Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 50
    Yetev Lev
    150 Rodney ST
    Brooklyn,NY11211     		    General Support 75
    Yetev Lev Jerusalem
    Rodney St
    Brooklyn,NY11211     		    General Support 36
    Zichron Menachem
    8 Elyon Rd
    Monsey,NY10952     		    General Support 80
    Zichron Menachem
    8 Elyon Rd
    Monsey,NY10952     		    General Support 360
    Total .................................bullet 3a 131,309
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..      
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
     
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2019)
    Additional Data


    Software ID: 19009610
    Software Version: 19.2.1.0


    Form 990PF - Special Condition Description:
    Special Condition Description